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Doctor insights on: Endoscopy Or Colonoscopy For Celiac Disease

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Dr. Charles Cattano
2,480 doctors shared insights

Endoscopy (Definition)

Endoscopy broadly refers to the direct visualization of the intestinal tract by way of a flexible, fiberoptic scope. Generally, the term is used to describe evaluation of the esophagus, stomach and duodenum (upper endoscopy), or the ...Read more


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Is it possible for a toddlers blood test to be negative for celiac disease but upon endoscopy or colonoscopy be found to indeed have celiac disease?

Is it possible for a toddlers blood test to be negative for celiac disease but upon endoscopy or colonoscopy be found to indeed have celiac disease?

Possibly: If the correct test was done (measurement of IgA antibody to human recombinant TTG is recommended for initial testing for CD by NASPGHAN) and was negative, AND if a child has chronic diarrhea or failure to thrive OR if they have selective IgA deficiency or a + family hx of CD, a biopsy might be recommended. Consult with a pediatric GI physician if this is the case. Best of luck! ...Read more

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It could be possible that a colonoscopy diagnose celiac disease?

It could be possible that a colonoscopy diagnose celiac disease?

Possible: During colonoscopy, quite a number of physicians reach the terminal ileum, the last part of the small intestine. Celiac disease affects this part of the small intestine, so the physician can see the changes in the lining of the gut and confirm the diagnosis with biopsies taken from that area. ...Read more

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I'm 38 female, smoker, have celiac disease but do not stick to diet, I've had one colonoscopy,found ONE sessile serrated polyp 9mm, should I worry?

I'm 38 female, smoker, have celiac disease but do not stick to diet, I've had one colonoscopy,found ONE sessile serrated polyp 9mm, should I worry?

Worry is relative !: If they never told you, you need to be aware of a fact. Every time someone with celiac disease consumes gluten, their immune system creates new antibodies that attack various tissues in the body.Your symptoms may be readily apparent or subtle, but they will eventually lead to more problems. It is hard enough to remain gluten free when you try, since it can be found in unexpected items. ...Read more

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Could my doctor diagnose celiac disease with a colonoscopy?

Could my doctor diagnose celiac disease with a colonoscopy?

Probably not: Celiac disease can be diagnosed by small intestine biopsies, done through an endoscope through the mouth. Colonoscopy comes from the other end (the anus) and probably wouldn't be able to get a diagnostic biopsy of the small intestine. ...Read more

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Is there any relation between ibd and celiac disease? How is celiac diagnosed? ( since i think colonoscopy is for large intestine only? )

Is there any relation between ibd and celiac disease? How is celiac diagnosed? ( since i think colonoscopy is for large intestine only? )

Similar symptoms: Ibd and celiac disease have been reported together in some patients. Some patients with ibd have also reported a relapse in symptoms on gluten free diet, but a direct relationship has not been definitively established. Celiac disease is diagnosed with the combination of upper endoscopy, duodenum (small intestine) biopsy, and blood test for celiac antibodies. ...Read more

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I am having a colonoscopy in a week & have celiac disease, for colon prep I was told to limit my food a week before to a low fiber diet, whait's that?

I am having a colonoscopy in a week & have celiac disease, for colon prep I was told to limit my food a week before to a low fiber diet, whait's that?

Low fiber diet: Meaning less of foods with high fiber content, to avoid build up of waste in the colon before the procedure, usually it is soft diet, avoid lots of fruits, vegetables, green salads, etc, ask the team who will perform the colonoscopy, they would provide you with exact diet regimen needed, good luck with the procedure ...Read more

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I have been tired, irritable, and can't seem to lose weight. I have been working out 5 days week eating about 1600 calorie diet. I have celiac disease and I am eating a gluten free diet, just had a colonoscopy that was normal.

I have been tired, irritable, and can't seem to lose weight. I have been working out 5 days week eating about 1600 calorie diet. I have celiac disease and I am eating a gluten free diet, just had a colonoscopy that was normal.

I : I am glad you have had a medical evaluation. Please be sure you are drinking plenty of fluids to flush out your system. Also please be sure you have had your thyroid hormones tested. If you continue your symptoms, please be seen by your physician to have a complete evaluation. ...Read more

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For celiac disease, which is more accurate, endoscopy or genetic tests (like enterolab)

For celiac disease, which is more accurate, endoscopy or genetic tests (like enterolab)

Evolving issue: For diagnosis, the intestinal biopsy is the accepted confirmatory test for cd.It identifies the villous atrophy that reverses on a gluten free diet. Several gene markers (dq2 , dq8 ) are found in 90% of patients with cd but are also found in 40-50% of the population.Immune markers are suggestive, but which immune markers to study is under study.Cyrex labs has some detailed info posted on their site. ...Read more

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Can endoscopy and biopsy to diagnose positive celiac disease be wrong? Are there other conditions that damage celia like that?

Can endoscopy and biopsy to diagnose positive celiac disease be wrong? Are there other conditions that damage celia like that?

Celiac disease: Lab tests (ttg antibody) should generally be used to confirm celiac disease, along with biopsy results. The characteristic appearance of celiac disease on biopsies can occasionally be caused by other small bowel conditions. ...Read more

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Can you have celiac disease with no symptoms and a normal upper endoscopy/pathology?

Can you have celiac disease with no symptoms and a normal upper endoscopy/pathology?

Unlikely, but ...: Not impossible. Subclinical celiac can have few or non-traditional symptoms such as migraines, reflux, abdominal pain, ect... Celiac involvement can be patchy and skip areas, so it is possible to miss it on biopsy. Talk about celiac blood testing with you physician to completely rule out. ...Read more

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My endoscopy biopsy looked exactly like something caused by Celiac disease but my blood test came back negative, what else could it be?

My endoscopy biopsy looked exactly like something caused by Celiac disease but my blood test came back negative, what else could it be?

Biopsy definitive.: In regards to celiac disease, the biopsy is more diagnostically reliable than the blood test, so if the blood test showed typical evidence of celiac disease, I'd believe it. ...Read more

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Would an upper GI endoscopy reveal celiac disease?

Would an upper GI endoscopy reveal celiac disease?

Yes: A small intestine biopsy, done by upper endoscopy going down through the mouth, can reveal a diagnosis of celiac disease, especially if the patient has symptoms and blood test results suggesting celiac disease. ...Read more

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What other methods is there of diagnosing celiac disease besides the blood test/gluten free diet/endoscopy? I can't afford endoscopy or the blood test

What other methods is there of diagnosing celiac disease besides the blood test/gluten free diet/endoscopy? I can't afford endoscopy or the blood test

Don't eat bread: If you think you have celiac disease and yet you don't want to have a diagnostic workup the answer is quite simple avoid all gluten containing products such as flour bread products there are many gluten-free alternatives in all the markets just do that and don't cheat on it. ...Read more

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Son with suspected congenital myasthenia is having an endoscopy next week to check for celiac disease vs. EoE. What sedation must he avoid, if any?

Son with suspected congenital myasthenia is having an endoscopy next week to check for celiac disease vs. EoE.  What sedation must he avoid, if any?

Myasthenia: Avoid depolarizing/ non depolarzing neuromuscular blocking agents, benzodiazepines. Propofol has been used,is OK. Also ,etomidate, ketamine , sevoflurane with opioids and even barbituates used, but need monitoring. Discuss anesthesia/neuromucular monitoring/sugammadex with anesthesia before the procedure day. http://www.myastheniagravis.ca/id14.html Good luck ...Read more

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I had endoscopy. I have gastritis and mild duodenal villi blunting. Some bile was found in stomach. No celiac disease. what could cause this?

I had endoscopy. I have gastritis and mild duodenal villi blunting. Some bile was found in stomach. No celiac disease. what could cause this?

Many things: Gastritis is inflammaton of your stomach lining and can be caused by chemicals such as bile reflux or medications such as aspirin, nonsteroidal antiinflammatories and some antibiotics like doxcycline. It is also associated with some bacterial infections like helicobacter. Villous blunting can cause malabsorption and can be caused by bacteria li as well as immune causes ...Read more

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Dr. Charles Cattano
2,033 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


Dr. John Chiu
621 doctors shared insights

Celiac Disease (Definition)

An immune reaction to eating gluten, a protein found in ...Read more